{
"Npi": {
"NPI": "1144359803",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "RICCI",
"FirstName": "R.",
"MiddleName": "DANIEL",
"NamePrefix": "MR.",
"NameSuffix": null,
"Credential": "MS, ATC",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "P.O. BOX 1360",
"SecondLineMailingAddress": "MARSHALL UNIVERSITY",
"MailingAddressCityName": "HUNTINGTON",
"MailingAddressStateName": "WV",
"MailingAddressPostalCode": "25715",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "304-696-4305",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "2001 3RD AVE.",
"SecondLinePracticeLocationAddress": "MARSHALL UNIVERSITY",
"PracticeLocationAddressCityName": "HUNTINGTON",
"PracticeLocationAddressStateName": "WV",
"PracticeLocationAddressPostalCode": "25715",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "304-696-4305",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/05/2007",
"LastUpdateDate": "07/08/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "2255A2300X",
"TaxonomyName": "Athletic Trainer",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}